HomeMy WebLinkAbout2012-12-31-Pato-OCPFForm CPF M 102: Campaign Finance Report
Municipal Form:
Mee of Campa)gn and Political Mnaneo
d ara.mk
File with;
City or Town Clerk or Election Commission
Piease print or type a l l inf e sign
Fill in dates Ja I 2 Necember t i , M12
Reporting Period Beginnin End in g
Type of report: (Check one)
08th day prece ding prelimina 08th day preceding election CI30 day after election ❑l ear -end report Qdissolution l
Joe Pato Committee to Elect Joe Pato Selectman
Full Name of Candidate (if applicable) Committee Name
Selectman Kerry Brandin
Office Sought and District Name of Committee Treasurer
900 Mass. Ave., Lexington, MA 02420 16 Franklin Rd, Lexington, MA 02420
Residential Address Committee Mailing Address
Tel. No. (optional) 11 Tel. No. (optional)
SUMMARY BALANCE INFORMATION:
Line 1: Ending balance from previous report $ 0.00
Line 2: Total receipts this period (page 2, line 11) $ 500.00
Line 3: Subtotal nine t plus line 2) $ 5Q0.o0 '
Line 4: Total expenditures this period (page 3 line 14) $ 0.00
Line S: Ending balance (line 3 minus line 4) $ 500.
Line 6: Total in - kind contributions this period (page 4) $ 0.00
Line 7: Total (ail) outstanding liabilities (page 4) $ 4471
Line 8: Name of bank(s) used Cambridge Savings Bank
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An (davit of Committee Treaxurert
1 oerttfy that I have examined this report including attached sdkdults and it is, too" best of my knowledge and belief, a true and complete atslerhietn of all pmpaign
finance activity, including all corMbutloroy loam, receipts, expo"Wrea, d4bunanatts, it kind contributions and liabilities for this reporting period and rgxvwn a the
campaign finan o activity of all persons acting under the authority or on behalfof (his committee in accordam with the requirements of M,O,L a, SS.
Signed under the pendtks of perjury:
FOR CANDIDATE FILINGS ONLY (CANDIDATE MUST SIGN BELOW)
AA(�Qjdavit of Candldatet (cheek t box only)
t� Candidate with Committee and no activity independent of the committee
1 certify that I have examined this report including attscW sdredula and it is, to Ow bat of my knowledge std ballot; a true and complete statement of all campaign
fins wo activity, of all pasons acting under the authority or on behalf of this mnrrdttee in accordance with dw requirements of M.O.L o. 53. 1 have not received any
oontribudtxu, bwunvd any liabilities nor made any expendittures on my behalf during this reporting period.
a Candidate Without Committee Qji Candidate with independent aetivlty Mg separate report
I Certify that I have examined this report including attadwd schedules and it is, to fire best of my knowledge acct ballet; a true and complete statanettt of all campaign
finance activity, imiuding oatuributiotA loans, rearipts, expendituivs, disbur"mainta, in -kind contributions snd liabilities for this reporting period and MMvWda the
campaign fhsance activity of all persons acting under t1w authority or on behalf of this owndttoo in accordance with the rcquiremtnu of M.O.L Q. 35.
. Signed under the penalties of perjury: f j
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SCHEDULE A: RECEIPTS
k/,C „L, c. 55 requires that the name and residential address be reported, in alphabetical order, for all receipts
cwer $50, in a calendar year. Committees must keep detailed accounts and records of all receipts, but need only
yutuixe those receipts over $50. In addttlun, the uv and employer must be reported for all persons who
volliribute $200 or more in a calendar year,
1.1 ►is page may be copied if additional pages are required to report all receipts. Please include your committee name and a page
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11111nnC vii ca%,
Date
iteceived
it Nagy,
Name and Residential Address
(alphabetical fisting required)
Amount
Occupation & Employer
(for contributions of $200 or more)
12/13112
Joseph Pato
900 Massachusetts Avenue
Lexington, MA 02420
LOAN
500
00
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Line 9: Total receipts in excess of $50 (or usto anove)
Line 10: Total receipts $50 and under* (not listed above)
Line 11: TOTAL RECEIPTS IN THE PERIOD
* if you have itemized receipts of $50 and under include them in line 9
abavc,
500
00100
500 0o Enter on page 1, line 2
Line 10 should include only those receipts not itemized
Page 2
r
SCHEDULE B: EXPENDITURES
M. G.L. c. 55 requires committees to list, in alphabetical order, all expenditures over $50 in a reporting period
Committees must keep detailed accounts and records of all expenditures, but need only itemize those over $50.
Expenditures $50 and under may be added together, from committee records, and reported on line 13.
This page may be copied if additional pages are required to report all expenditures. Please include your committee name and a page
raimher on each nave.
Date Paid
V To Whom Paid
(alp habetical listing)
Address
Purpose of Expenditure
Amount
M�
C)
D
Mr
CD
Enter on page 1, line 4
Line 12: Expenditures over $50
00
00
Line 13: Expenditures $50 and under*
00
00
Line MTOTAL EXPENDITURES
00
00
*If you have itemized expenditures of $50 and under, include them in line 12. Line 13 should include only those expenditures not
itemized above Page 3
SCHEDULE C: "IN -KIND" CONTRIBUTIONS
Please itemize contributors who have made in -kind contributions of more than'$50, In -kind contributions $50 and under may be
addr-A tnwethe.r from thn rnmmittee's records and included in line 16.
Date
From Whom Received*
Residential Address
Description of
Value
Received
Joe Palo
900 Massachusetts'Avenue
Lexington, MA 02420
Contribution
$44.71
N
C
VI CD
Enter on page 1, line 7
Line 18: OUTSTANDING LIABILITIES (ALL)
4x. e
Lin 15: In -kind over $50
0.00
Line 16: In -kind $50 and under
0.00
Enter on page 1, line 6
Line 17: Total In -kind
0.00
* If an in -kind contribution is received from a person who contributes more than $50 in a calendar year, you must report the name
and address of the contributor; in addition, if the contribution is $2Q0 or more, you must also report the contributor's occupation and
employer,
SCHEDULE D: LI,ABILPITES
M.G.L. c, 55 requires committees to report ALL liabilities which have been reported previously and are still outstanding, as well as
those liabilities Incurred during this reporting period,
Date
Incurred
To Whom Due
Address
Purpose
Amount
12/20/12
Joe Palo
900 Massachusetts'Avenue
Lexington, MA 02420
Vistaprint Business cards
$44.71
Enter on page 1, line 7
Line 18: OUTSTANDING LIABILITIES (ALL)
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1
This page may be copied if additional pages are required to report all activity, Please include your committee name and a page
number on each page. % printed on recycled paper Page 4